1,720,985 research outputs found
Psychosocial profiles of painful TMD patients
No full textThe aim of the present investigation is to test the null hypothesis that the presence of psychopathology in patients with temporomandibular disorders (TMD) is related to the presence of pain, independent of its location [(i.e. myofascial and/or temporomandibular joint (TMJ) pain]. Ninety-six (n = 96) patients affected by painful TMD underwent a clinical assessment in accordance with the research diagnostic criteria for TMD (RDC/TMD) guidelines and filled out the Symptoms Check List - Revised (SCL-90-R) instrument to investigate the presence of symptoms of psychopathology. Patients with myofascial pain, alone or combined with TMJ pain, endorsed the highest scores in all SCL-90-R scales and showed the highest percentage of abnormal values in the depression (DEP) and somatization (SOM) scales for the assessment of depressive and somatization symptoms. Nonetheless, anova revealed no significant differences between groups in any of the SCL-90-R scales, except than in the Positive Symptom Total Index (F = 3.463; P = 0.035), and the chi-squared test did not detect any significant differences between groups for the prevalence of abnormal scores in the DEP and SOM scales. The existence of a close association between pain and psychosocial disorders in TMD patients was supported by the present study. The null hypothesis is that no differences exist between patients with different painful TMD cannot be fully accepted for the presence of psychosocial disorders because of the trend evidencing higher SCL-90-R scores for myofascial pain patients, alone or combined with TMJ pain, with respect to TMJ pain alone
Mucocele della regione etmoidale: descrizione di un caso clinico e revisione della letteratura
No full textVALUTAZIONE DEGLI ASPETTI TEMPERAMENTALI E DEL DISAGIO PSICHICO IN UN CAMPIONE DI PAZIENTI AFFERENTI ALL’AMBULATORIO PER I DISORDINI CRANIOMANDIBOLARI
No full textIntroduzione: Un ruolo importante nella genesi e nel mantenimento dei Disordini
Craniomandibolari viene attribuito ai fattori di natura psichica.
Lo studio valuta le caratteristiche temperamentali di pazienti afferenti all’Ambulatorio DCM attraverso il confronto con un gruppo di controllo proveniente dalla popolazione generale.
Metodologia: sono stati confrontati due gruppi [DCM (N=90) e controlli (N=51)] tramite il Tridimensional Personality Questionnaire, le scale di Hamilton per l’ansia e depressione e la Mini Plus. I DCM sono stati divisi in “Miofasciali”, “Articolari”,“Misti” (RDC/TMD).
Risultati: Per quanto riguarda le differenze tra i sottogruppi DCM e i controlli, nella HDRS e nella HARS emerge che i pazienti articolari hanno punteggi medi maggiori rispettivamente M±SD 8,84±7,23e11,78±7,40. Questi dati sono confermati dalla Mini Plus. Analizzando le differenze temperamentali nei vari gruppi emergono significatività statistiche per quanto riguarda la Reward Dependance, in particolare per sentimentalismo/insensibilità con livelli più elevati negli articolari che risultano avere inoltre maggior tendenza all’attaccamento. Differenze significative si riscontrano nell’ Harm Avoidance dove i miofasciali hanno un punteggio più alto nella dimensione affaticabilità e astenia/energia.
Conclusioni: lo studio evidenzia come gli Articolari presentino maggior sofferenza psichica e peculiari aspetti temperamentali,che sembrano predittori di appartenenza a tale sottogruppo diagnostico
Cranio-facial and plastic surgery in the work of Girolamo Fabrici d'Acquapendente (1533-1619)
Full text linkArthrocentesis with or without additional drugs in temporomandibular joint inflammatory-degenerative disease: comparison of six treatment protocols.
No full textThe aim of the present pilot investigation was to compare the effectiveness of six treatment protocols providing temporomandibular joint (TMJ) arthrocentesis with or without additional drugs to manage symptoms in patients with inflammatory-degenerative TMJ disease. A consecutive series of 72 patients with TMJ osteoarthritis (axis group IIIb) with pain lasting from more than 6months were randomly assigned to one of the groups receiving the following treatment protocols: single-session two-needle arthrocentesis (A), single-session two-needle arthrocentesis plus corticosteroid (B), single-session two-needle arthrocentesis plus low molecular weight hyaluronic acid (HA) (C), single-session two-needle arthrocentesis plus high molecular weight HA (D), 5weekly two-needle arthrocenteses plus low molecular weight HA (E) and 5weekly single-needle arthrocenteses plus low molecular weight HA (F). At the 3-month follow-up, improvement with respect to mean baseline values was recorded in all the five treatment groups completing the protocol. No significant differences emerged between groups in any outcome variable. The protocol providing five sessions of two-needle arthrocenteses plus low molecular weight HA allowed achieving the highest improvement in almost all the outcome variables. Findings suggested that no statistically significant differences existed between the treatment groups. The clinical significance of these findings needs to be tested with future studies on larger samples with longer follow-up periods
Temporomandibular joint osteoarthritis: an open label trial of 76 patients treated with arthrocentesis plus hyaluronic acid injections
No full textThis study is an open-label trial oil a sample of 76 consecutive patients with temporomandibular joint (TMJ) osteoarthritis treated with a cycle of five weekly arthrocenteses Plus hyaluronic acid injections. Patients had a diagnosis of osteoarthritis according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD Axis I Group IIIb). They underwent a cycle of five arthrocenteses with injections (1 per week) of 1 ml hyaluronic acid and four follow-up assessments after the end of the treatment (at I week, I month, 3 months, 6 months). At cacti appointment, several subjective and objective Outcome variables were assessed to test the efficacy of the treatment protocol. Marked improvements were reported for all variables during the treatment phase. The improvements were maintained over the 6-month follow-up period. The p-value of the multivariate permutation test for the efficacy of the treatment over time (with Tippett's combination) was 0.001, and significant changes at the end of the follow-up period were detected for almost all the outcome variables. Data from this Study lend further Support to the usefulness of serial hyaluronic acid injections performed after arthrocentesis for the treatment of TMJ osteoarthritis and for the maintenance of improvements over a 6-month follow-up period
Caratteristiche di personalità: confronto tra pazienti affferenti All’Ambulatorio per i Disordini Articolazione Temporo-Mandibolare (DCM), Pazienti psichiatrici e controlli
No full textComparison of magnetic resonance imaging findings in temporomandibular joints of the two sides
No full textObjectives The aim of this investigation was to assess the
association of magnetic resonance imaging (MRI)-diagnosed
temporomandibular joint (TMJ) disorders [i.e., disc
displacement with reduction, disc displacement without reduction
(DDNR), osseous changes (OC), joint effusion] on
the same side as well as in the joints of the two sides of the
same individual.
Materials and methods A total of 199 patients undergoing
bilateral MRI of the TMJs were included in the study. A
single variable correlation matrix was created to assess the
within- and between-side correlation of single diagnoses.
Then, based on 12 possible combinations of diagnoses per
each side, a contingency table was created to assess the chisquare
values of the differences between the observed and
expected frequencies of the different cross-combinations.
Multiple variable permutation test was performed to assess
the null hypothesis that the diagnoses in the right and left
joints are not related.
Results Within the signs of the same side, DDNR was
positively correlated with OC. As for combination of diagnoses,
the presence of a specific combination of signs on
one side implied the same combination of signs on the other
side. The global multivariate permutation test with Tippett
combination was significant at p<0.001, showing that the
null hypothesis of independence between diagnoses of the
two sides was rejected.
Conclusions It can be suggested that disc displacement
without reduction is associated with osseous changes of
the same joint and that joints of the two sides are likely to
be affected by the same combinations of MRI signs.
Clinical relevance This investigation supports the concept
that the two temporomandibular joints work as a unit
- …
